Organization
DYNAMIC PHYSICAL THERAPY & SPORTS PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD BOYD (CEO)
(417) 859-3991
Entity
Organization
Contact information
Practice address
1350 SPUR DR STE 180, MARSHFIELD, MO 65706-2190
(417) 859-3991
(417) 859-0100
Mailing address
PO BOX 1497, OZARK, MO 65721-1497
(417) 859-3991
(417) 859-0100
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2010
Last updated
11/06/2019
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